Doctor Name: | MRS. SUSAN H. MYZER |
NPI Number: | 1063505808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP |
License Number: | 19031 |
Business Practice Address: | 705 N 8th Ave Suite 3a Dillon, SC - 295362549 |
Business Phone Number: | 8437746091 |
Business Fax Number: | 8438413814 |
Mailing Address: | Po Box 3239, FLORENCE |
State: | SC |
Postal Code: | 295023239 |
Phone Number: | 8437777042 |
Fax Number: | 8437777102 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 19031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |